How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $30.90 Median $154.88 Typical High $4,365.16 | Facility | None | $30.90 | $154.88 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $162.18 | Professional | None | $25.12 | $32.36 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $229.09 Typical High $407.38 | Professional | None | $66.07 | $229.09 | $407.38 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $169.82 Typical High $331.13 | Facility | None | $40.74 | $169.82 | $331.13 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $363.08 Typical High $501.19 | Professional | None | $131.83 | $363.08 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $363.08 | Professional | None | $72.44 | $75.86 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $316.23 | Professional | None | $60.26 | $64.57 | $316.23 |
Sanford Health Plan Setting Professional Modifier None Typical Low $42.66 Median $186.21 Typical High $269.15 | Professional | None | $42.66 | $186.21 | $269.15 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $40.74 Median $89.13 Typical High $436.52 | Professional | None | $40.74 | $89.13 | $436.52 |
Wellmark Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $331.13 | Professional | None | $56.23 | $66.07 | $331.13 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $23.44 Typical High $100.00 | Professional | 54 · Surgery only | $19.05 | $23.44 | $100.00 |
Where South Dakota sits
The same service costs 4.7 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Dakota· 6th of 51
$182
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.